Evidence on Spinal Mobilization and Neurophysiologic Effects

While Spinal manipulative therapy (SMT) appears to be an effective intervention in the reduction of pain, the underlying mechanisms are not completely understood. A recently published systematic review, involving Nxt Gen faculty Dr. Steve Karas and Dr. Joseph Brence, analyzed the relationship between non-thrust SMT (mobilization) and improvements in pain sensitivity, via pain pressure thresholds. From this systematic review, the authors concluded there is sufficient evidence to suggest that PPTs increase immediately following non-thrust SMT, supporting the notion that non-thrust joint mobilizations may have a neurophysiologic effect on pain sensitivity.

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